Davis, Chrystal L

Davis, Chrystal L is an individual health care provider with primary practice located at 12750 Se Stark St Bldg E , Portland OR 97233-1539. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Davis, Chrystal L can be contacted via phone (971) 347-3009.

Contact Information

Primary practice address
12750 Se Stark St Bldg E Portland OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 115363 Oregon

Profile Details

NPI number 1467955195
LBN Legal business name Davis, Chrystal L
Credentials DA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Aug 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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